End-of-life issues for American Indians/Alaska Natives: insights from one Indian Health Service area.

abstract：OBJECTIVES:To continuously assess overall quality of life (QOL) and disease progression in patients with amyotrophic lateral sclerosis (ALS) at different stages of the disease and compare the results between these two variables. DESIGN/SUBJECTS:Twenty-six patients with ALS were interviewed with a questionnaire to asse...

journal_title：Journal of palliative medicine

authors： Nygren I,Askmark H

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Employment-related issues have been largely overlooked in cancer patients needing palliative care. These issues may become more relevant as cancer evolves into more of a chronic illness and palliative care is provided independent of stage or prognosis. OBJECTIVE:To characterize the employment situations of ...

journal_title：Journal of palliative medicine

authors： Glare PA,Nikolova T,Alickaj A,Patil S,Blinder V

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:Percutaneous cervical cordotomy (PCC) is a well recognized but infrequently performed procedure for the relief of unilateral intractable pain from malignancy. There is a paucity of data regarding efficacy and safety of PCC. OBJECTIVES:The study's objectives were to demonstrate the efficacy and safety of PCC...

journal_title：Journal of palliative medicine

authors： Bain E,Hugel H,Sharma M

更新日期：2013-08-01 00:00:00

abstract：: Background: Growing evidence suggests that pediatric palliative care (PPC) teams influence the care received by children and young adults with chronic, life-limiting illnesses. Little is known about how PPC involvement affects advance care planning (ACP) and circumstances ...

journal_title：Journal of palliative medicine

authors： Harmoney K,Mobley EM,Gilbertson-White S,Brogden NK,Benson RJ

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Although an interdisciplinary approach is considered best practice for caring for patients at the end of life, or in need of palliative care (PC) services, there is growing tension between healthcare organizations' need to contain costs and the provision of this beneficial, yet resource-intensive service. O...

journal_title：Journal of palliative medicine

authors： Ciemins EL,Brant J,Kersten D,Mullette E,Dickerson D

更新日期：2016-07-01 00:00:00

abstract：: Background: Although there is growing evidence that close reading of literature and reflective writing can improve providers' appreciation of the patient experience, foster physician development, and combat burnout, there has been less work on the experience of reading lit...

journal_title：Journal of palliative medicine

authors： Segar N,Sullivan J,Litwin K,Hauser J

更新日期：2020-08-19 00:00:00

abstract：: Background: Aggressive care at the end of life (EOL) is a persistent issue for patients with stage IV nonsmall cell lung cancer (NSCLC). We evaluated the use of concurrent care (CC) with hospice care and cancer-directed treatment simultaneously within the Veteran's Health ...

journal_title：Journal of palliative medicine

authors： Presley CJ,Han L,O'Leary JR,Zhu W,Corneau E,Chao H,Shamas T,Rose M,Lorenz K,Levy CR,Mor V,Gross CP

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:Additional evidence is needed regarding the impact of inpatient palliative care (IPC) on the quality of end-of-life care and downstream utilization. AIM:Examine the effects of IPC on quality of end-of-life care and acute and postacute care use in a large integrated system. DESIGN:Retrospective cohort desig...

journal_title：Journal of palliative medicine

authors： Khang PS,Wang SE,Liu IA,Watson HL,Koyama SY,Huynh DN,Lee JS,Nguyen HQ

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Opioid dose escalation may cause hyperalgesia, mediated by the N-methyl-D-aspartate (NMDA) pathway. Methadone is an atypical opioid that inhibits hyperalgesia through NMDA-blockade, especially at low doses. OBJECTIVE:To evaluate the efficacy of using very-low-dose methadone as the sole long-acting opioid ag...

journal_title：Journal of palliative medicine

authors： Salpeter SR,Buckley JS,Bruera E

更新日期：2013-06-01 00:00:00

abstract：:It has frequently been claimed that palliative care (PC) consultation services reduce hospital length of stay (LOS). We review 12 published studies comparing patients receiving PC or similar intervention and patients receiving usual care with regard to average total hospital LOS. None of the six observational studies ...

journal_title：Journal of palliative medicine

authors： Cassel JB,Kerr K,Pantilat S,Smith TJ

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVES:To examine the effect of patient-directed electronic messages on health care proxy (HCP) use. DESIGN:Randomized control trial using an electronic message intervention to encourage patients to complete an HCP document. SETTING:General medical practice at a large tertiary care teaching institution. PARTICIP...

journal_title：Journal of palliative medicine

authors： Cintron A,Phillips R,Hamel MB

更新日期：2006-12-01 00:00:00

abstract：:An advance directive, a description of one's future preferences for medical treatment, must be easily available to care providers to ensure that one's treatment preferences are honored. The transition of our health care system to an electronic medical record complicated the availability of a patient's written advance ...

journal_title：Journal of palliative medicine

authors： Bricker LJ,Lambing A,Markey C

更新日期：2003-06-01 00:00:00

abstract：BACKGROUND:Patients receiving hospice or palliative care often receive antimicrobial therapy; however the effectiveness of antimicrobial therapy for symptom management in these patients is unknown. OBJECTIVE:The study's objective was to systematically review and summarize existing data on the prevalence and effectiven...

journal_title：Journal of palliative medicine

authors： Rosenberg JH,Albrecht JS,Fromme EK,Noble BN,McGregor JC,Comer AC,Furuno JP

更新日期：2013-12-01 00:00:00

abstract：:Cancer pain assessment and management are integral to palliative medicine. This paper reviews recent publications in the period 1999-2004 in the broad categories of epidemiology, pain assessment, nonpharmacologic approaches to cancer pain (radiation therapy, anesthetic blocks, palliative surgery and chemotherapy, comp...

journal_title：Journal of palliative medicine

authors： Chang VT,Janjan N,Jain S,Chau C

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Entrustable professional activities (EPAs) are routine tasks considered essential to a professional practice. An EPA can serve as a performance-based outcome that a clinical supervisor would progressively entrust a learner to perform. OBJECTIVE:Our aim was to identify, develop, and validate a set of EPAs fo...

journal_title：Journal of palliative medicine

authors： Myers J,Krueger P,Webster F,Downar J,Herx L,Jeney C,Oneschuk D,Schroder C,Sirianni G,Seccareccia D,Tucker T,Taniguchi A

更新日期：2015-08-01 00:00:00

abstract：: Background: A broad consensus on the optimal structure, intensity, and timing of early specialist palliative care (SPC) intervention is lacking. Objective: To evaluate the benefit of an early and systematic palliative intervent...

journal_title：Journal of palliative medicine

authors： Slama O,Pochop L,Sedo J,Svancara J,Sedova P,Svetlakova L,Demlova R,Vyzula R

更新日期：2020-12-01 00:00:00

abstract：: Background: Many patients with serious kidney disease have an elevated symptom burden, high mortality, and poor quality of life. Palliative care has the potential to address these problems, yet nephrology patients frequently lack access to this specialty. ...

journal_title：Journal of palliative medicine

authors： Scherer JS,Harwood K,Frydman JL,Moriyama D,Brody AA,Modersitzki F,Blaum CS,Chodosh J

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Although postmortem examination has been reported in a variety of settings and diseases, the medical literature only makes sparse mention of postmortem findings regarding the manner of death in terminally ill patients receiving palliative care. We sought to identify causes of death in an inpatient hospice pr...

journal_title：Journal of palliative medicine

authors： Abdel-Karim IA,Sammel RB,Prange MA

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:Informal caregivers of hospice patients experience multiple stressors that can negatively impact physical, psychological, and emotional health. The goal of this qualitative study was to understand caregivers' needs to inform the feasibility, structure, and content of a telephone-based counseling intervention...

journal_title：Journal of palliative medicine

authors： Kutner J,Kilbourn KM,Costenaro A,Lee CA,Nowels C,Vancura JL,Anderson D,Keech TE

更新日期：2009-12-01 00:00:00

abstract：:Stroke is a leading cause of disability and mortality worldwide. Recent advances in stroke care now enable patients with severe ischemic stroke owing to large vessel occlusion to safely undergo endovascular thrombectomy (EVT) up to 24 hours since their time of last known well, with the goal of improving functional out...

journal_title：Journal of palliative medicine

authors： Sokol LL,Hauser JM,Lum HD,Forlizzi J,Cerf M,Caprio FZ,Young MJ

更新日期：2020-05-14 00:00:00

abstract：BACKGROUND:Nurses and nursing care providers provide the most direct care to patients at end of life. Yet, evidence indicates that many feel ill-prepared for the complexity of palliative care. OBJECTIVE:To review the resources required to ensure adequate education, training, and mentorship for nurses and nursing care ...

journal_title：Journal of palliative medicine

authors： Pesut B,Greig M

更新日期：2018-01-01 00:00:00

abstract：: Objectives: To discuss the outcomes of a formalized care transition process for palliative care patients from the hospital to the community. Background: Patients who received inpatient palliative care services from the speciali...

journal_title：Journal of palliative medicine

authors： Paramanandam G,Boohene J,Tran K,Volk-Craft BE

更新日期：2020-12-01 00:00:00

abstract：INTRODUCTION:Performing death pronouncement and communicating effectively with gathered family is an important skill relevant to end-of-life care. Often it is a responsibility of first-year residents who lack proper training or emotional preparation for the task. Residents' tension about this task presents an opportuni...

journal_title：Journal of palliative medicine

authors： Marchand L,Kushner K

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Despite the growing use of opioids to treat cancer pain and the probability of opioid aberrancy in the cancer setting, clinical practice guidelines (CPGs) or recommendations for active screening and monitoring of opioid compliance are lacking. OBJECTIVES:To evaluate the current practices and attitudes clini...

journal_title：Journal of palliative medicine

authors： Liebling D,Mehta N,Gulati A

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Prognostication plays a key role in palliative care (PC). It is critical for advance care planning, determining hospice eligibility, and communication. In contrast to subjective clinical prognostication, evidence-based prognostication (EBP) uses existing validated data to quantify prognosis; however, the ext...

journal_title：Journal of palliative medicine

authors： Bruggeman AR,Heavey SF,Ma JD,Revta C,Roeland EJ

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Congenital anomalies account for 20% of neonatal and infant deaths in the United States. Perinatal palliative care is a recent addition to palliative care and is meant to meet the needs of families who choose to continue a pregnancy affected by a life-limiting diagnosis. OBJECTIVE:To examine characteristics...

journal_title：Journal of palliative medicine

authors： Wool C,Côté-Arsenault D,Perry Black B,Denney-Koelsch E,Kim S,Kavanaugh K

更新日期：2016-03-01 00:00:00

abstract：: Background: Legacy-making (i.e., a way for patients with terminal illness to create or do something for others as a means of remembrance) is rising in popularity in palliative medicine, although only one study has examined its impact in a pediatric population. ...

journal_title：Journal of palliative medicine

authors： Schaefer MR,Spencer SK,Barnett M,Reynolds NC,Madan-Swain A

更新日期：2019-09-01 00:00:00

abstract：: Background: Failure to initiate discussions about patients' values and goals in serious illness remains a common problem. Many clinicians are inadequately trained for these discussions. Objective: Evaluate whether a novel train...

journal_title：Journal of palliative medicine

authors： Paladino J,Kilpatrick L,O'Connor N,Prabhakar R,Kennedy A,Neal BJ,Kavanagh J,Sanders J,Block S,Fromme E

更新日期：2020-03-01 00:00:00

abstract：PURPOSE:The majority of dying patients do not have access to necessary drugs to alleviate their most common symptoms, despite evidence of drug efficacy. Our aim was to explore the degree of consensus about appropriate pharmacological treatment for common symptoms in the last days of life for patients with cancer, among...

journal_title：Journal of palliative medicine

authors： Lindqvist O,Lundquist G,Dickman A,Bükki J,Lunder U,Hagelin CL,Rasmussen BH,Sauter S,Tishelman C,Fürst CJ,OPCARE9.

更新日期：2013-01-01 00:00:00

abstract：OBJECTIVE:In advanced dementia, many difficult decisions may arise as the disease progresses, including whether to use feeding by tube. Several recent articles question the benefit of percutaneous endoscopic gastrostomy (PEG) tube placement in persons with advanced dementia. However, patients with advanced dementia are...

journal_title：Journal of palliative medicine

authors： Shega JW,Hougham GW,Stocking CB,Cox-Hayley D,Sachs GA

更新日期：2003-12-01 00:00:00